Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689216079 Individual Practitioner Male Practitioner

Michael Smith , LSW

Social Worker • Lake Villa, IL

Professional Overview & Biography Verified Profile Summary

Michael Smith, LSW is a registered healthcare professional specializing in Social Worker in Lake Villa, IL. Practice services are available at 89 CEDAR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

89 Cedar Ave

Lake Villa, IL 600468411

Telephone 8472657300
Fax 8472657301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lake Villa, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Lake Villa, IL (5960 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-24
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License WI 11170

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Practice Locations

2424 S 102nd St

Milwaukee, WI 532272106

Phone: 8007674411

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Lauren Thompson , SLP

Speech-Language Pathologist

NPI 1033093661

Speech-Language Pathologist

Chelsea Gahgan , SLP

Speech-Language Pathologist

NPI 1033684006

Speech-Language Pathologist

Erin Paul

Social Worker - Clinical

NPI 1063837169
Kathie Kennelly , SLP

Speech-Language Pathologist

NPI 1073017455

Speech-Language Pathologist

Kathryn Kachoris , LCSW

Social Worker - Clinical

NPI 1083034375

Licensed Clinical Social Worker

Ashley Perini , LPC

Counselor - Professional

NPI 1093315905

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Social Worker (License #11170 in WI)

NPI Profile Active October 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2019

Registered at 89 CEDAR AVE, LAKE VILLA, IL 600468411 (Tel: 8472657300)

📍
Updated Business Mailing Address October 17, 2019

Registered at PO BOX 764, LAKE VILLA, IL 600460764 (Tel: 8472657300)

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as MICHAEL SMITH, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Social Worker

🟢
Initial NPI Registration & Enumeration October 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689216079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2019
Last Update: February 24, 2025
Sole Proprietor: No

Mailing Address

Po Box 764

Lake Villa, IL 600460764

Phone: 8472657300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.